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December 2018 Back to top
IAC Express Special Edition - Year-End Reminder: Issue 1403
December 27, 2018
Special Edition: Year-End Reminder: Please Donate to IAC!
IAC Express Issue 1402
December 19, 2018
Top Stories
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Happy holidays from all of us at IAC! We'll be back on January 2.
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IAC updates its popular Ask the Experts section on hepatitis A
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CDC publishes "Influenza Activity—United States, September 30–December 1, 2018" in this week’s MMWR
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CDC publishes "Quick Stats" report in this week’s MMWR based on 2017 National Health Interview Survey of percentage of U.S. adults 18 and over who received flu vaccination by diagnosed diabetes status and age group
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IAC Spotlight! Looking for easy-to-read Q&A handouts on diseases and vaccines? IAC has a collection of 20 of them in both English and Spanish
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Voices for Vaccines releases new Vax Talk podcast featuring IAC’s own Dr. L.J Tan on "What You Need to Know About Flu"
Featured Resources
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Reminder: New 65+ Flu Defense website features information and resources for healthcare professionals serving adults age 65 and older
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Influenza is spreading and serious; please keep vaccinating your patients
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NACCHO releases new podcast featuring Dr. Melinda Wharton on the history of National Influenza Vaccination Week and how important vaccinations are at all stages of life
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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Nationwide Danish study finds the flu shot is tied to heart failure survival
Conferences and Meetings
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NFID inviting abstracts by January 10 for presentations at 2019 Annual Conference on Vaccinology Research, April 3–5 in Baltimore
IAC Express Special Edition - Reminder: Donate to IAC: Issue 1401
December 18, 2018
Special Edition: Reminder: Donate to IAC!
IAC Express Issue 1400
December 12, 2018
Top Stories
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Inaugural IAC Becky Payne Award presented to Vaccinate Your Family
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CDC director releases statement on the life of Betty Bumpers
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Three lots of infant ibuprofen recalled due to potentially high concentrations of the drug
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Rescheduled to take place today! CDC webinar about how to make an influenza vaccination recommendation that matters to patients to be held this afternoon, December 12
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IAC Spotlight! IAC's Clinic Tools: Administering Vaccines web page is the "go-to" place for accessing a wide variety of useful resources
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American College of Physicians develops Adult Immunization Resource Hub as part of an initiative to raise adult immunization rates
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November's Technically Speaking column by IAC executive director Dr. Deborah Wexler describes CDC's collection of four-minute videos and web-based training programs related to vaccine administration
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IAC enrolls one new birthing institution into its Hepatitis B Birth Dose Honor Roll; six previously honored institutions qualify for additional years' honors
World News
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WHO reports on the October meeting of the Strategic Advisory Group of Experts on Immunization in Weekly Epidemiological Record
Featured Resources
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NFID releases new online toolkit developed to increase awareness about the dangers of influenza in adults with chronic health conditions
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Influenza is spreading and serious; please keep vaccinating your patients
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Reminder: Check out CDC's "Keys to Storing and Handling Your Vaccine Supply" video
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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CDC publishes report on an avian influenza H7N8 outbreak in an Indiana turkey flock
IAC Express Special Edition - Reminder: Donate to IAC: Issue 1399
December 11, 2018
Special Edition: Reminder: Donate to IAC!
IAC Express Issue 1398
December 5, 2018
Top Stories
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It's National Influenza Vaccination Week; make sure all your patients are protected against flu!
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IAC Spotlight! Explore IAC’s "Ask the Experts" web section for answers to more than 1,000 Q&As about vaccines and their administration
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New Jersey and New York experiencing ongoing outbreaks of measles
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CDC and WHO report on worldwide progress toward regional measles elimination in this week’s MMWR and Weekly Epidemiological Record, respectively; continuing education credit available for reading MMWR article
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CDC publishes "Quick Stats" report in this week’s MMWR based on 2017 National Health Interview Survey of percentage of U.S. adults 18 and over who received flu vaccination
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Nine healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
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U.S. Preventive Services Task Force issues draft recommendations for hepatitis B virus screening in non-pregnant adolescents and adults; public comment requested
Vaccine Information Statements
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IAC posts seven revised translations of the MenACWY VIS
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IAC posts seven new and updated translations of the DTaP VIS
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IAC posts five updated and new translations of the Hepatitis B VIS
Featured Resources
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Reminder: New 65+ Flu Defense website features information and resources for healthcare professionals serving adults age 65 and older
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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Pediatrics study examines impact on medical exemptions of California’s 2015 policy eliminating personal belief exemptions for vaccination
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American Journal of Public Health publishes "Trends and Characteristics of Proposed and Enacted State Legislation on Childhood Vaccination Exemption, 2011–2017"
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November issue of CDC's Immunization Works newsletter now available
Conferences and Meetings
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2019 California Immunization Coalition Summit scheduled for April 8–9 in Riverside; submissions for abstracts due by December 14
IAC Express Special Edition - Donate to IAC: Issue 1397
December 4, 2018
A Special Annual Appeal from IAC
November 2018 Back to top
IAC Express Issue 1396
November 28, 2018
Top Stories
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The entire immunization community mourns our loss of Betty Bumpers, immunization champion and co-founder of Every Child By Two
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Influenza is spreading and serious; use National Influenza Vaccination Week to remind your patients they need to be protected
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IAC Spotlight! September 26 webinar by Dr. Sharon G. Humiston presenting "Adolescent Immunization Update and the 16-Year-Old Platform" now archived on IAC website; slide set and presenter's notes also available for your use
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Worst chickenpox outbreak in two decades in North Carolina may be linked to vaccine exemptions
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Children's Hospital of Philadelphia publishes November issue of its e-newsletter Vaccine Update for Healthcare Professionals
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CDC establishes Acute Flaccid Myelitis Task Force as confirmed cases rise
IAC Handouts
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IAC updates its standing orders template for administering inactivated poliovirus vaccine to children and teens
World News
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The Global Polio Eradication Initiative issues an update on the frontlines of Pakistan’s battle against polio; door-to-door immunization campaigns being used to ensure no child is left behind
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WHO releases world malaria report showing that after an unprecedented period of success in global malaria control, progress has stalled
Featured Resources
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Mott Poll Report explores whether parents have selective hearing about flu vaccine
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
IAC Express Issue 1395
November 21, 2018
Top Stories
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National Influenza Vaccination Week will be observed December 2–8; use this week to remind your patients they need to be protected from flu
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CDC publishes report on increase in acute flaccid myelitis in the U.S.
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Fourteen cases of measles confirmed in Ocean County, New Jersey
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CDC publishes updated framework for the development of ACIP recommendations
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IAC Spotlight! AIM and IAC partner on new handout, "Communicating the Benefits of Seasonal Influenza Vaccine"
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Every Child By Two announces new name to reflect its expanded mission
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Vaccinate Your Family blog post discusses disruption at recent ACIP meeting by vaccine critics
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Institute for Safe Medication Practices publishes information about possible mix-up of rabies immune globulin dosage due to similar packaging of 1 mL and 5 mL vials
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IAC enrolls one new birthing institution into its Hepatitis B Birth Dose Honor Roll; five previously honored institutions qualify for additional years' honors
Vaccine Information Statements
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IAC posts 18 translations of the updated Hepatitis B VIS
Official Releases and Announcements
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NACCHO releases 2018 Forces of Change report
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American Dermatological Association co-sponsors American Cancer Society's HPV vaccination policy
World News
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CDC and WHO report on global routine vaccination coverage in this week's MMWR and Weekly Epidemiological Record, respectively; continuing education credit available for reading MMWR article
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UNICEF delivers humanitarian aid, including vaccines, to 50,000 people in refugee camp in Syria
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WHO reports on progress toward polio eradication in Pakistan
Featured Resources
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Reminder: New 65+ Flu Defense website features information and resources for healthcare professionals serving adults age 65 and older
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AAP's "A Guide to Adolescent Immunizations: Flip Chart for Pediatric Offices and Parents" now available in Simplified Chinese and Spanish, as well as English
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New book, The Clinician’s Vaccine Safety Resource Guide, available for purchase
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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October issue of CDC's Immunization Works newsletter now available
Education and Training
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CDC to offer December 5 webinar about how to make an influenza vaccination recommendation that matters to patients
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CDC to sponsor November 29 webinar for clinicians about the current hepatitis A outbreaks in multiple states
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Meningitis B Action Project to sponsor November 26 webinar for colleges and universities
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NFID to offer December 13 webinar about travel vaccination
Conferences and Meetings
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Registration open for February ACIP meeting
IAC Express Issue 1394
November 14, 2018
Top Stories
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IAC Spotlight! Four states, CT, NJ, OH, and RI—plus NYC, require annual vaccination in child care facilities against influenza. Visit IAC's "State Laws and Mandates" web section to find more information on state vaccination requirements
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October's Technically Speaking column by IAC executive director Dr. Deborah Wexler is titled "Let's Get It Right! How to Avoid Shoulder Injury with Deltoid Intramuscular Injections"
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New! CDC video for parents explains a vaccine's journey from development through post-licensure monitoring
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CDC publishes special issue on U.S. health disparities titled "Disparities in Prevention and Treatment of HIV, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis"
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Reminder: Watch this unique series of six online training sessions to help you implement standing orders protocols for adult immunization in your healthcare setting
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Voices for Vaccines releases new podcast episode titled "Vaccines Did Not Cause Rachel's Autism"
IAC Handouts
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IAC updates four of its in-depth "Q&A: Diseases and Vaccines" handouts for the public—for measles, mumps, rubella, and rabies
Official Releases and Announcements
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WHO releases "2018 Assessment Report of the Global Vaccine Action Plan"
World News
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CDC reports on progress on polio eradication in Pakistan in this week's MMWR
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WHO reports on progress towards global malaria elimination in this week's Weekly Epidemiological Record
Featured Resources
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New! NFID adult hepatitis B awareness toolkit includes free CME trainings, infographics, and social media posts
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Influenza is spreading and serious; please keep vaccinating your patients
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Education and Training
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Gerontological Society of America and mdBriefCase offer webinar on targeting older populations to improve influenza outcomes; free CME available
IAC Express Issue 1393
November 7, 2018
Top Stories
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CDC publishes ACIP recommendations on use of hepatitis A vaccine for pre- and post-exposure prophylaxis for international travel in MMWR
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American Dental Association adopts policy to support the use and administration of HPV vaccine for the prevention of oral HPV infection
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CDC reports on hepatitis A outbreaks in four states related to drug use and homelessness
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IAC Spotlight! IAC's Vaccinating Adults: A Step-by-Step Guide is available free of charge to help you enhance your adult vaccination services
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Six healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
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Just for fun! Two-minute video parody of the Broadway musical Hamilton song titled “My Shot” to share with patients, colleagues, and friends
IAC Handouts
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IAC updates its standing orders templates for administering pneumococcal conjugate vaccine to children and inactivated polio vaccine to children and teens
Official Releases and Announcements
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CDC releases national progress report on hepatitis elimination
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Federal panel reports that HPV vaccination rates are too low to achieve full cancer prevention potential
Featured Resources
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Reminder: New 65+ Flu Defense website features information and resources for healthcare professionals serving adults age 65 and older
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Influenza season has begun; many resources available to help you vaccinate your patients
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Check out CDC's #HowIRecommend Twitter page for short videos about how to effectively recommend influenza and HPV vaccines
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ZDoggMD interviews Dr. Paul Offit about the dangers of celebrity health advice
Education and Training
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CDC's Current Issues in Immunization NetConference to address hepatitis A guidelines for homelessness, post-exposure prophylaxis, and international travel scheduled for November 28
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CDC to offer November 13 webinar about what healthcare professionals need to know about acute flaccid myelitis
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New! Free continuing education from MMWR and Medscape: "Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices—United States, 2018–19 Influenza Season"
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Reminder: Vaccine Education Center’s "Current Issues in Vaccines" webinar with Dr. Paul Offit to be held November 14
October 2018 Back to top
IAC Express Issue 1392
October 31, 2018
Top Stories
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IAC provides a summary article about votes taken at October 24–25 ACIP meeting
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Association of State and Territorial Health Officials issues press release expressing alarm that declining vaccination rates are putting Americans at risk for flu and other potentially deadly diseases
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CDC publishes "Update: Influenza Activity—United States and Worldwide, May 20–October 13, 2018" in this week's MMWR
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CDC reports on 40 cases of influenza A (H3N2) variant virus infection from swine exposure at agricultural fairs in 2017 in this week's MMWR
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IAC Spotlight! The "Favorites" tab at the top of every page on immunize.org brings you to 18 of the most popular web sections on IAC's content-rich website
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Children's Hospital of Philadelphia publishes October issue of its e-newsletter Vaccine Update for Healthcare Professionals
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FDA approves new drug to treat influenza for people age 12 and older
IAC Handouts
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IAC updates its 1-page educational sheet for patients and staff: "Hepatitis A, B, C: Learn the Differences"
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IAC revises three of its staff education materials: "Administering Vaccines: Dose, Route, Site, and Needle Size"; "Administering Vaccines to Adults: Dose, Route, Site, and Needle Size"; and "How to Administer Intranasal and Oral Vaccinations"
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IAC revises "Recommendations for Pneumococcal Vaccines Use in Children and Teens"
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IAC updates "Standing Orders for Administering Meningococcal ACWY Vaccine to Children and Teens"
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IAC updates its 1-page guidance for healthcare professionals titled "DTaP, Tdap, and Td Catch-up Vaccination Recommendations by Prior Vaccine History and Age"
World News
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CDC and WHO publish "Update on Vaccine-Derived Polioviruses—Worldwide, January 2017–June 2018" in this week's MMWR and Weekly Epidemiological Record, respectively
Featured Resources
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Influenza season has begun; be sure all your patients are getting vaccinated!
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The latest edition of The Vaccine Handbook (The Purple Book) App is now available from the Pediatric Infectious Diseases Society
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Medscape video commentary discusses the ethical question: Do children have vaccination rights?
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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CDC report examines public health implications of rabid animals crossing state lines
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CDC publishes "Measles Outbreak in a Highly Vaccinated Population—Israel, July–August 2017"
Education and Training
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Registration open for Vaccine Education Center's November 14 "Current Issues in Vaccines" webinar with Dr. Paul Offit
IAC Express Issue 1391
October 24, 2018
Top Stories
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New! 65+ Flu Defense website features tools and resources for healthcare professionals serving adults age 65 and older
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CDC presents information about the 386 confirmed cases of acute flaccid myelitis in the U.S. in 2018
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CDC publishes "Mumps Outbreak in a Marshallese Community—Denver Metropolitan Area, Colorado, 2016–2017" in this week's MMWR
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Ask the Experts Q&As on rotavirus, varicella, and rabies recently updated
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September's Technically Speaking column by IAC executive director Dr. Deborah Wexler is titled "What's New for Flu This Season?"
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IAC Spotlight! IAC's PowerPoint Slide Sets web page contains 13 presentations on a wide variety of immunization topics; available by request for your use
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109 healthcare settings join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination, including People's Community Clinic, St. Catherine's Village, and 107 Essentia healthcare facilities
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Voices for Vaccines releases new podcast episode titled "Measles Eradication and Elimination"
IAC Handouts
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“Practical Resources from the Immunization Action Coalition” is a descriptive 1-page handout about IAC resources; make copies and hand out at staff meetings or at state and local immunization conferences
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IAC updates its PowerPoint slide set "Quick Answers to Tough Questions"; use it "as is" or modify it to fit your needs
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IAC updates its parent handout "Keep your kids safe—get them vaccinated every fall or winter!"
Vaccine Information Statements
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IAC posts eight new translations of the recently updated DTaP VIS
Official Releases and Announcements
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Weekly Epidemiological Record publishes recommendations for the composition of influenza vaccines for the southern hemisphere's 2019 flu season
Featured Resources
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CDC updates its Manual for the Surveillance of Vaccine-Preventable Diseases
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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New population-level study determines HPV vaccine doesn't encourage risky sexual behaviors among teen girls
IAC Express Issue 1390
October 17, 2018
Top Stories
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CDC publishes report on vaccination rates among children age 19–35 months of age in 2017
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CDC reports on vaccination coverage of kindergarten students during 2017–18 in MMWR
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CDC releases updated VIS for hepatitis B vaccine
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New 65+ Flu Defense website features tools and resources for healthcare professionals serving adults age 65 and older
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FDA approves expanded age indication for Afluria
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CDC study shows that during the last six influenza seasons, getting a flu shot reduced a pregnant woman’s risk of being hospitalized from flu by an average of 40%
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CDC reports on rubella infection in an unvaccinated pregnant woman in Kansas
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CDC experts update information on Ask the Experts sections about Meningococcal ACWY and Meningococcal B vaccines
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IAC Spotlight! Get a copy of "Immunization Techniques: Best Practices with Infants, Children, and Adults" DVD for staff training
IAC Handouts
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IAC updates "Current Dates of Vaccine Information Statements" and "You Must Give Your Patients Vaccine Information Statements (VISs)—It’s Federal Law!"
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IAC posts nine updated translations of its "Screening Checklist for Contraindications to Vaccines for Adults" and seven translations of its "Screening Checklist for Contraindications to Vaccines for Children and Teens"
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IAC revises the Spanish-language translations of its screening checklists for contraindications to inactivated injectable influenza and live attenuated intranasal influenza vaccines
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IAC posts updated Spanish-language translation of "Questions Frequently Asked about Hepatitis B"
Vaccine Information Statements
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IAC posts eight new translations of the Meningococcal ACWY VIS
World News
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WHO publishes guidance for evaluating progress towards elimination of measles and rubella in this week's Weekly Epidemiological Record
Featured Resources
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American Immunization Registry Association releases resource about how to use small area analysis to find pockets of vaccination need, as well as suggestions about
responding to the need
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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JAMA publishes study on optimal timing of Tdap vaccination during pregnancy
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BuzzFeed provides good overview of the importance of influenza vaccination—share with patients and parents!
Education and Training
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NFID to offer October 30 webinar about pneumococcal vaccination of adults
Conferences and Meetings
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Tune in to ACIP's October 24–25 meeting via live webcast
IAC Express Issue 1389
October 10, 2018
Top Stories
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FDA announces approval of expanded use of Gardasil 9 to include adults 27 through 45 years old
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IAC updates two of its popular Ask the Experts sections: one on vaccine administration and the second on vaccine storage and handling
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IAC Spotlight! IAC’s Standing Orders Templates for Administering Vaccines web page contains standing orders templates and related resources that can help healthcare settings improve vaccination rates for patients of all ages
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CDC releases Digital Media Toolkit for the 2018–19 flu season to assist partners in communicating about the importance of vaccination
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Just launched! "The 16 Vaccine" educational awareness website advocating CDC’s recommended second dose of MenACWY vaccine at age 16
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Available online: six-part series of online training sessions on implementing standing orders protocols for adult immunization in your healthcare setting
IAC Handouts
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IAC updates "How to Administer Intramuscular and Intranasal Influenza Vaccines" to remove intradermal vaccine
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IAC posts updated 6-page handout for the public titled "Influenza: Questions and Answers"
Vaccine Information Statements
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IAC posts updated Spanish translations of VISs for DTaP and MenACWY vaccines
World News
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WHO supports Zimbabwe in effort to vaccinate 1.4 million people against cholera as outbreak spreads
Featured Resources
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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September issue of CDC's Immunization Works newsletter now available
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The Lancet Public Health publishes study projecting elimination of cervical cancer in Australia within two decades because of government program to vaccinate children against HPV
Education and Training
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NFID offers webinar on protecting adults with chronic health conditions against influenza on Thursday, October 11 (tomorrow)
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National AHEC webinar on November 1 presents recommendations and tools for persuading parents that HPV vaccine is safe and effective
Conferences and Meetings
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NFID Clinical Vaccinology Course scheduled for November 9–10 in Bethesda; submissions for poster presentations due by October 18
IAC Express Special Edition - Ask the Experts: Issue 1388
October 9, 2018
Influenza Vaccines
Q: What's new in the 2018–19 influenza vaccine recommendations?
Q: Which influenza vaccines will be available during the 2018–2019 influenza season?
Q: What are the differences between trivalent and quadrivalent influenza vaccines?
Q: If quadrivalent vaccine includes one additional strain, why isn't it preferred for use over trivalent vaccine?
Q: Which formulations of influenza vaccines (i.e., nasal spray, injectable high-dose, and injectable standard-dose) are licensed for various age groups?
Q: We are having trouble getting a supply of Fluzone Intradermal (Sanofi Pasteur). Is there a shortage of this vaccine?
Q: We have noticed that ACIP recommends that we begin vaccinating with seasonal influenza vaccine in September or even earlier. Does protection from seasonal influenza vaccine decline or wane within 3 or 4 months of vaccination? Should I wait until later in the year to vaccinate my elderly or medically frail patients?
Q: Which influenza vaccines can we give to children?
Q: Please provide details about the use of FluLaval and Fluarix influenza vaccine in children younger than 3 years.
Q: Which children younger than age 9 years will need 2 doses of influenza vaccine in this influenza season?
Q: Can a child 6 through 35 months of age who needs 2 doses of influenza vaccine this season receive a combination of Fluzone, FluLaval, or Fluarix vaccine?
Q: If a child receives Fluzone vaccine (0.25 mL) at age 34 or 35 months for the first time and then returns for the second dose at age 37 months, should we give another 0.25 mL dose of Fluzone or should we give the 0.5 mL dose that is indicated for ages 3 and older?
Q: Is influenza vaccine recommended for pregnant women?
Q: I have a patient who is now 12 weeks pregnant. She received a dose of quadrivalent inactivated influenza vaccine earlier this season, before she was pregnant. Should we give her another dose of this year’s influenza vaccine since she was not pregnant at the time of her first dose?
Q: Please tell me about Fluad, one of the influenza vaccines for people age 65 years and older.
Q: Sometimes patients age 65 years and older who have received the standard-dose influenza vaccine hear about the high-dose (Fluzone High-Dose) or adjuvanted vaccine (Fluad) and want to receive that, too. Is this okay to administer?
Q: Which healthcare personnel should be vaccinated against influenza?
Q: What is the preferred anatomic site for administration of inactivated influenza vaccine (IIV) and recombinant influenza vaccine?
Q: For whom is inactivated influenza vaccine contraindicated?
Q: What are the contraindications for live attenuated influenza vaccine (LAIV)?
Q: What is the latest ACIP guidance on influenza vaccination and egg allergy?
Q: Is there any plan to change the Influenza Vaccine Information Statement (VIS) for the 2018–19 influenza season?
Q: When administering influenza vaccine, is giving patients a VIS mandatory or is it only "recommended"?
IAC Express Issue 1387
October 3, 2018
Top Stories
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CDC reports on influenza vaccination coverage of healthcare professionals in 2017–18
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CDC publishes report on influenza vaccination coverage of pregnant women in 2017–18
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CDC reports on barriers to Tdap receipt among mothers of infants with pertussis
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Available online: six-part series of online training sessions on implementing standing orders protocols for adult immunization in your healthcare setting
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IAC updates two of its popular Ask the Experts sections: one on MMR and the second on HPV vaccine
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San Diego County reports on third meningococcal B case at San Diego State University
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IAC Spotlight! IAC’s recently updated Partners web page is a great way to learn about organizations and professional societies that work in the immunization field
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IAC enrolls five new birthing institutions into its Hepatitis B Birth Dose Honor Roll; 13 previously honored institutions qualify for additional years' honors
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Adult primary care providers: Help the National Task Force on Hepatitis B Focus on Asian and Pacific Islander Americans to understand the challenges of providing hepatitis B care in the primary care setting by completing a survey
IAC Handouts
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IAC makes small correction to its recently updated "Summary of Recommendations for Adult Immunization"
Official Releases and Announcements
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FDA Commissioner Scott Gottlieb releases statement on preparations for the upcoming influenza season
World News
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WHO reports on progress toward polio containment worldwide in this week's Weekly Epidemiological Record
Featured Resources
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CDC reminds providers about its e-Learn course on proper vaccine administration, as well as other related resources
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Vaccine Education Center updates two Q&A sheets, one about hepatitis B and one about logical fallacies and vaccines
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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Vaccine Education Center at Children's Hospital of Philadelphia publishes September issue of its newsletter Vaccine Update for Healthcare Professionals
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CDC publishes report about meningococcal disease surveillance for men who have sex with men
September 2018 Back to top
IAC Express Issue 1386
September 26, 2018
Top Stories
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Plotkin's Vaccines textbook wins first prize in public health category for the 2018 British Medical Association’s Medical Book Award
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The immunization community mourns our loss of Lynn Bozof, president and cofounder of the National Meningitis Association
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Annual NFID influenza and pneumococcal news conference will be held on September 27; listen to the event and join the Twitterstorm
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IAC Spotlight: IAC’s recently updated Adult Vaccination web page is full of resources to help you vaccinate adults this fall and beyond
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CDC issues clinical guidance for providers during the Shingrix vaccine shortage
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CDC issues bulletin on tetanus in areas affected by a hurricane, including clinical guidance for providers
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IAC updates two of its popular Ask the Experts sections: one on diphtheria, pertussis, and tetanus and the second on Hib vaccines
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Three healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination; 681 now enrolled
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Beware of B campaign urges Big Ten universities to require the meningitis B vaccination for incoming students; Indiana University and Purdue University on board
IAC Handouts
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IAC makes correction to newly updated standing orders template for influenza vaccination of children/teens
World News
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WHO reports on cholera and poliomyelitis in this week's Weekly Epidemiological Record
Featured Resources
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Education and Training
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CDC webinar, "2018–2019 Recommendations for Influenza Prevention and Treatment in Children: An Update for Pediatric Providers," scheduled for September 27
Conferences and Meetings
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CDC Current Issues in Immunization NetConference about DTaP/Tdap and hepatitis vaccine recommendations scheduled for September 25
IAC Express Issue 1385
September 19, 2018
Top Stories
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IAC updates two of its most popular Ask the Experts sections: one on influenza and the second on pneumococcal vaccines
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Register now: Dr. Sharon G. Humiston, IAC's associate director for research, will present a webinar on adolescent immunization and the 16-year-old platform on September 26
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IAC Spotlight! Easily find what you're looking for on immunize.org by using the new blue-gray tabs that run across the top of every web page
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Voices for Vaccines releases new podcast episode titled "Anti-Vaccine Nurses"
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New CDC data found that adolescents in rural areas are less likely to be vaccinated against HPV cancers and meningitis than adolescents in urban areas; learn about new related resources
IAC Handouts
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IAC updates "Screening Checklist for Contraindications to Inactivated Injectable Influenza Vaccination" and "Screening Checklist for Contraindications to Live Attenuated Intranasal Influenza Vaccination"
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IAC posts updated Spanish-language version of "Should You Be Vaccinated Against Hepatitis A?"
World News
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WHO reports on transmission of circulating vaccine-derived poliovirus in the Horn of Africa
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CDC reports on surveillance for congenital rubella syndrome in India
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Refugee children in Germany found to be at greater risk of contracting invasive pneumococcal disease
Featured Resources
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ACOG posts new resource online: "Seasonal Influenza Vaccination Programs: Tips for Optimizing Practice Management"
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CDC develops new online resource to share with parents about why it's important to vaccinate babies on time
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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CDC publishes information about a mumps outbreak associated with a cheerleading competition in Texas
Education and Training
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CDC Current Issues in Immunization NetConference about DTaP/Tdap and hepatitis vaccine recommendations scheduled for September 25
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Weekly CDC webinar series on "The Pink Book" chapter topics will conclude on September 26; register now for the "Influenza" session
IAC Express Issue 1384
September 12, 2018
Top Stories
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CDC offers guidance to travelers as influenza season nears
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Register now! Dr. Sharon G. Humiston, IAC's associate director for research, will present a webinar on adolescent immunization and the 16-year-old platform on September 26
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AAP publishes its vaccination recommendations for 2018–19 influenza season
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IAC Spotlight! The Vaccine Manufacturers web page on immunize.org provides company contact information and more
IAC Handouts
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IAC updates its popular "Summary of Recommendations for Child/Teen Immunization" and "Summary of Recommendations for Adult Immunization"
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IAC posts revised standing orders templates for influenza vaccination of adults and children/teens
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IAC updates "Guide to Contraindications and Precautions to Commonly Used Vaccines" and "Guide to Contraindications and Precautions to Commonly Used Vaccines in Adults"
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IAC posts revised "Screening Checklist for Contraindications to Vaccines for Children and Teens" and "Screening Checklist for Contraindications to Vaccines for Adults"
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IAC posts "Guide for Determining the Number of Doses of Influenza Vaccine to Give to Children Age 6 Months Through 8 Years"
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IAC updates "Influenza Vaccination of People with a History of Egg Allergy"
Vaccine Information Statements
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IAC posts new German-language translation of the Inactivated Influenza Vaccine VIS
Official Releases and Announcements
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WHO issues updated position paper on dengue vaccine
World News
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Campaign launched to vaccinate almost 14 million children in Afghanistan against measles
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CDC reports on progress toward polio containment worldwide
Featured Resources
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Education and Training
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VICNetwork webinar, "2018–19 Seasonal Flu Recommendations and Communications Messaging," scheduled for September 17
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Center for HIV Law and Policy, Harm Reduction Coalition, and the National Viral Hepatitis Roundtable will host an October 4 webinar about the relationship between criminalization, viral hepatitis, and harm reduction
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Weekly CDC webinar series on "The Pink Book" chapter topics continues September 19 with "Pneumococcal Vaccines"; register now for series running through September 26
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CDC updates "You Call the Shots" modules on zoster and vaccine administration; free CE credit available
Conferences and Meetings
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NFID Clinical Vaccinology Course scheduled for November 9–10 in Bethesda
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State of Michigan's 2018 fall regional immunization conferences to take place in eight cities on different dates
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Presentation slides from June ACIP meeting are now available; next meeting scheduled for October 24–25
IAC Express Issue 1383
September 5, 2018
Top Stories
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Twitter bots and Russian Internet trolls amplify mistrust and discord about immunization in the U.S.
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IAC Spotlight! IAC’s Influenza Honor Roll now highlights long-term care/assisted living facility honorees
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September is National Preparedness Month; CDC posts "Partner Toolkit" for messaging, pandemic planning, and other resources
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Voices for Vaccines releases new podcast episode, "Superman, Cancer, and Vaccines," with Jason Mendelsohn, HPV cancer survivor; he tells his story and urges parents to vaccinate their sons and daughters
IAC Handouts
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IAC updates "Current Dates of Vaccine Information Statements" and "You Must Give Your Patients Vaccine Information Statements (VISs)—It’s Federal Law!"
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IAC updates "Influenza Vaccine Products for the 2018–2019 Influenza Season"
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IAC revises "Standing Order for Administering Diphtheria, Tetanus, and Acellular Pertussis (DTaP) Vaccine to Children Younger Than Age 7 Years"
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IAC makes a small correction to its popular 4-page handout for patients: "Questions Frequently Asked about Hepatitis B"
Featured Resources
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AAP releases several videos, including one featuring pediatricians sharing why they vaccinate and another addressing the importance of the hepatitis B vaccine birth dose
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
•
IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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August issue of CDC's Immunization Works newsletter now available
Education and Training
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Weekly CDC webinar series on "The Pink Book" chapter topics continues September 12 with "HPV"; register now for series running through September 26
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Opportunity to participate in Gerontological Society of America's "Immunization Champions, Advocates & Mentors Program" (ICAMP) training in Boston on November 13
Conferences and Meetings
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European Scientific Working Group on Influenza Flu Summit to be held in Belgium on September 28; registration open and free of charge
August 2018 Back to top
IAC Express Issue 1382
August 29, 2018
Top Stories
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CDC publishes ACIP's 2018–19 influenza vaccination recommendations
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CDC releases updated VISs for DTaP and MenACWY vaccines
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CDC issues report on vaccination coverage among adolescents age 13–17 years in the U.S. in 2017; more adolescents up to date on HPV vaccination
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CDC reports on trends in HPV-associated cancers in the United States
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FDA works to mitigate shortages of EpiPen by extending expiration date for specific lots of medication
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IAC Spotlight! Visit IAC's immunizationcoalitions.org website for information about immunization coalitions and nonprofits
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IAC enrolls five new birthing institutions into its Hepatitis B Birth Dose Honor Roll; fourteen previously honored institutions qualify for additional years' honors
IAC Handouts
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IAC posts seven updated translations of its 1-page vaccination schedule for patients titled "Vaccinations for Adults—You're never too old to get vaccinated!"
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IAC posts seven updated Spanish translations of its 1-page adult vaccination schedules for patients with HIV or hepatitis C infection; with heart or lung disease, diabetes, or anatomic or functional asplenia; and for men who have sex with men
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Reader alert: IAC's Spanish translations of "Questions Frequently Asked about Hepatitis B" and "Protect Yourself Against Hepatitis A and Hepatitis B: A Guide for Gay and Bisexual Men" were delayed in posting following last week's IAC Express
Official Releases and Announcements
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World Health Organization reports that more than 41,000 people in European region have been infected with measles in the first half of 2018
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WHO summarizes the 2017–18 influenza season in the northern hemisphere in this week's Weekly Epidemiological Record
World News
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New partnership to bring 8 million vaccines to remote areas of Liberia, Uganda, and Kenya
Featured Resources
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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
•
Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
Journal Articles and Newsletters
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Study found that physicians have significant gaps in knowledge about MenB disease and MenB vaccine
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Study in Pediatrics did not find increased risk of primary ovarian insufficiency after HPV, Tdap, inactivated influenza, or MenACWY vaccination
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CDC reports on mumps outbreak in Alaska
Education and Training
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CDC offers new Medscape CME activity: "Making the Case: Championing for HPV Cancer Prevention in Your Practice"
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Reminder: Vaccine Education Center's "Current Issues in Vaccines" webinar with Dr. Paul Offit to be held September 5
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Weekly CDC webinar series on "The Pink Book" chapter topics continues September 5 with "Hepatitis B"; register now for series running through September 26
IAC Express Issue 1381
August 22, 2018
Top Stories
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National Immunization Awareness Month is coming to a close; the final week will focus on protecting adults
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FDA announces approval of first generic version of EpiPen and EpiPen Jr auto-injectors for emergency treatment of allergic reactions
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CDC publishes "Emergence of Localized Serogroup W Meningococcal Disease in the United States—Georgia, 2006–2016" in this week’s MMWR; authors advise vigilance regarding potential atypical clinical presentations of meningococcal disease
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CDC responds to numerous media reports by stating there has not been any multi-state measles outbreak in the U.S. this year
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IAC Spotlight: Reminder! IAC’s recently updated Adult Vaccination web page is full of resources to help you vaccinate adults this fall and beyond
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In a Medscape commentary, Dr. Paul Offit responds to recent New York Times article titled "Anti-Vaccine Activists Have Taken Vaccine Science Hostage"
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Voices for Vaccines releases August series of new Vax Talk podcast mini-episodes on immunization for pregnant women and children younger than age two
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Join NFID and the Washington Nationals for the 7th Annual Flu Awareness Night in Washington, DC, on September 21
IAC Handouts
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IAC updates three of its Q&A series of patient handouts about diseases and vaccines on the topics of diphtheria, tetanus, and pertussis
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IAC posts updated Spanish translation of its very popular 4-page handout for patients: "Questions Frequently Asked about Hepatitis B"
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IAC posts Spanish translation of "Protect Yourself Against Hepatitis A and Hepatitis B: A Guide for Gay and Bisexual Men"
Featured Resources
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CDC posts teacher-created classroom educational activities for its free 60-page graphic novel titled "The Junior Disease Detectives: Operation Outbreak"
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
•
IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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Pediatrics publishes study showing no association between tetanus, diphtheria, and pertussis (Tdap) vaccination of pregnant women and autism
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Pediatrics publishes study finding that legislation for increasing HPV vaccination did not lead to increase in risky adolescent sexual behaviors in the U.S.
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Vaccine Education Center at Children's Hospital of Philadelphia publishes August updates for its July/August issue of its newsletter Vaccine Update for Healthcare Professionals
Education and Training
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Register now for AHEC webinar: "Evidence-Based Communication Strategies for Improving Child and Adolescent Vaccine Uptake" on September 19
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Weekly CDC webinar series on "The Pink Book" chapter topics continues August 29 with "Measles, Mumps, Rubella"; register now for series running through September 26
IAC Express Issue 1380
August 15, 2018
Top Stories
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National Immunization Awareness Month continues; upcoming week will focus on protecting preteens and teens
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Available online: six-part series of online training sessions on implementing standing orders protocols for adult immunization in your healthcare setting
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In case you missed this! CDC, AAFP, AAP, and ACOG all recommend that newborns receive hepatitis B vaccine within 24 hours of birth
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IAC Spotlight! Find whatever you're looking for on immunize.org by using the Google search engine located on all IAC web pages
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IAC posts its newest PowerPoint slide set, "What Are Standing Orders Protocols?"; use it "as is" or modify it to fit your needs
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Just released! Dr. Paul Offit's latest book: Bad Advice: Or Why Celebrities, Politicians, and Activists Aren't Your Best Source of Health Information
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Three healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination; 677 now enrolled
IAC Handouts
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IAC posts updated temperature logs for refrigerators and freezers in both Celsius and Fahrenheit formats
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IAC updates "Vaccine Storage Troubleshooting Record" in fillable and non-fillable formats
World News
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WHO reports on yellow fever in Africa and the Americas in this week's Weekly Epidemiological Record
Featured Resources
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
•
IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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"Mortality among Patients with Chronic Hepatitis B Infection: The Chronic Hepatitis Cohort Study" published in July issue of Clinical Infectious Diseases
Education and Training
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Register for CDC’s #PreteenVaxScene webinar, "National Immunization Awareness Month: Effectively Recommending Vaccines Across the Lifespan," on August 17
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Weekly CDC webinar series on "The Pink Book" chapter topics continues August 22 with "Polio and Hib"; register now for series running through September 26
IAC Express Issue 1379
August 8, 2018
Top Stories
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CDC releases clinical guidance for providers during the Shingrix shortage
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National Immunization Awareness Month is here; upcoming week will focus on protecting babies and young children
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Available online: six-part series of online training sessions on implementing standing orders protocols for adult immunization in your healthcare setting
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IAC's Video of the Week presents personal stories, news, animations, and other video clips every Monday
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IAC enrolls ten new birthing institutions into its Hepatitis B Birth Dose Honor Roll; ten previously honored institutions qualify for additional years' honors
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Voices for Vaccines releases new podcast: "Hashtag Vaccines–The Social Media Episode"
IAC Handouts
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IAC updates "Don't Be Guilty of These Preventable Errors in Vaccine Storage and Handling!" and "Checklist for Safe Vaccine Storage and Handling"
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IAC revises "Vaccines with Diluents: How to Use Them"
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IAC updates its vaccine storage and handling "Emergency Response Worksheet" for addressing power failures and temperature excursions
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IAC updates its vaccination record for medical charts, "Vaccine Administration Record for Adults"
World News
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CDC and WHO report on progress toward polio eradication in Afghanistan in this week's MMWR and Weekly Epidemiological Record, respectively
Featured Resources
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CDC, U.S. Department of Agriculture, and 4-H develop free 60-page comic book-style story called "The Junior Disease Detectives: Operation Outbreak"
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
•
IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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July issue of CDC's Immunization Works newsletter now available
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Report highlights gaps in adult vaccination that could be improved by implementing Standards for Adult Immunization Practice
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New CDC study conducted over multiple influenza seasons found that getting a flu shot lessened the risk of severe influenza among adults
Education and Training
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Weekly CDC webinar series on "The Pink Book" chapter topics continues August 15 with "Varicella/Zoster"; register now for series running through September 26
Conferences and Meetings
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2018 World Influenza Conference to take place in Beijing on September 7–10
IAC Express Special Edition - Ask the Experts: Issue 1378
August 3, 2018
Hepatitis B Vaccines
Q: A physician ordered a 40-mcg dose of hepatitis B vaccine for a hemodialysis patient. The clinic does not stock the Recombivax HB 40-mcg dose dialysis formulation (Merck) and would like to give 2 doses of Engerix-B 20-mcg dose (GSK) for each dose in the series. Is this acceptable?
Hepatitis A Vaccines
Q: How does immune globulin (IG) work?
DTaP/Td/Tdap Vaccines
Q: If a teen or adult patient never received Tdap but received a dose of Td vaccine 2 years ago, should I wait 8 more years before administering a dose of Tdap to the patient?
Polio Vaccines
Q: We frequently see children (mostly from certain foreign countries) who have received 6 or more doses of polio vaccine, all administered before 4 years of age. How do we handle this when assessing the child’s immunization history?
Q: How do I determine if doses of polio vaccine administered outside the United States were trivalent OPV?
Rotavirus Vaccines
Q: Which infants should not receive rotavirus vaccine?
Q: A woman in our practice received infliximab (Remicade, Janssen Pharmaceuticals) for treatment of Crohn's disease while she was pregnant. Should we modify her infant's rotavirus vaccination schedule because of this treatment?
Meningococcal ACWY Vaccines
Q: What is the schedule for MenACWY vaccine?
Q: If someone received MPSV4 or MenACWY vaccine at age 10 years and a dose of MenACWY before the 16th birthday, will they still need a booster dose at age 16?
Zoster Vaccines
Q: Should a person who received 2 doses of varicella vaccine be vaccinated with zoster vaccine when they turn 50?
Q: What is the minimum interval between doses of RZV (Shingrix)?
Q: What is the minimum age for administering RZV?
Q: I have ZVL in my freezer but I do not have recombinant zoster vaccine. The manufacturer told us to anticipate ordering limits and intermittent shipping delays for RZV during 2018 so I don’t know when I will get RZV doses. In this situation, what is the appropriate approach to patients who come to my practice for shingles vaccine?
Q: How should zoster vaccine be stored?
Administering Vaccines
Q: Are vaccine diluents interchangeable?
Q: One of our staff gave a dose of pediatric hepatitis A vaccine to an adult patient by mistake. How do we remedy this error?
Documenting Vaccines
Q: Where can I find a list of vaccines currently licensed for use in the U.S.?
Q: We frequently see patients, such as immigrants, who do not have records of past vaccination or who insist they or their children are up to date. Should we accept their undocumented vaccination history?
Q: We sometimes encounter patients with foreign vaccination records. We suspect that some of these records are not valid. What should we do?
Q: How can I find out if our state or locality has an Immunization Information System (IIS), or registry, in which I might participate?
Billing and Reimbursement
Q: What vaccines are covered by Medicare?
Q: I want to begin providing vaccines for my adult patients but reimbursement for these vaccines is confusing. Can you provide guidance?
IAC Express Issue 1377
August 1, 2018
Top Stories
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CDC publishes "Mumps Outbreaks at Four Universities—Indiana, 2016" in this week's MMWR
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National Immunization Awareness Month is here; week 2 will focus on protecting pregnant women and their babies
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IAC Spotlight! Looking for an easy way to find what you need on IAC's website for healthcare professionals? Scroll down to the "Guide to Immunize.org" located at the bottom of every web page
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New "MenB in 90 Seconds" video highlighting need for MenB vaccine to protect college students and teens posted by Meningitis B Action Project
World News
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France 2018 measles outbreak: 2,500 cases, 22% hospitalized, 3 dead; vaccination mandate expanded January 2018
Featured Resources
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WHO's 106th Global Health Histories seminar: "Vaccine Hesitancy—Why Do Some People Not Vaccinate?" now available for viewing
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
•
IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download
Journal Articles and Newsletters
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Vaccine Education Center at Children's Hospital of Philadelphia publishes July/August issue of its newsletter Vaccine Update for Healthcare Professionals
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The journal Vaccine publishes study examining racial and ethnic differences in HPV vaccine initiation and recommendations by providers for teen-age boys
Education and Training
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NFID webinar addressing measles outbreaks and lessons learned scheduled for August 7
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Registration open for Vaccine Education Center's September 5 "Current Issues in Vaccines" webinar with Dr. Paul Offit
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Weekly CDC webinar series on "The Pink Book" chapter topics continues August 8 with "Meningococcal Vaccines"; register now for series running through September 26
July 2018 Back to top
IAC Express Issue 1376
July 25, 2018
Top Stories
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CDC updates recommendations in its "General Best Practice Guidelines for Immunization"
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